Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.39 / $3,401.00 / $12,444.00	Facility		$790.39	$3,401.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.90 / $2,262.96 / $4,507.25	Professional		$743.90	$2,262.96	$4,507.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $3,843.24 / $4,575.28	Facility		$964.00	$3,843.24	$4,575.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.98 / $2,825.60 / $6,436.32	Professional		$750.98	$2,825.60	$6,436.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $845.36 / $2,580.31 / $4,108.18	Professional		$845.36	$2,580.31	$4,108.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $2,726.04 / $4,858.20	Professional		$426.19	$2,726.04	$4,858.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,572.33 / $3,708.80 / $7,395.36	Professional		$2,572.33	$3,708.80	$7,395.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $615.08 / $3,058.53 / $3,058.53	Professional		$615.08	$3,058.53	$3,058.53